Rib City® Take Out Survey

Help us to improve our restaurant's Take Out food quality by answering a few questions and we will snail mail you a coupon for a complimentary appetizer at the Rib City of your choice!

* = REQUIRED  All Information must be current and valid.

Take-Out Survey

First and Last Name:(*)
Please add a value for your Name.

Address:(*)
Please add a value for your address.

Address 2:

City:(*)
Please add a value for your City.

State:(*)
Please add a value for your State.

Zip Code:(*)
Please add a value for your Zip.

Phone:(*)
Please add a value for your address.your Phone

Your Email:(*)
Please add a value for your Email.

Your Age:(*)
is not a number.

Gender(*)
Please add a value for your sex.

Date of Last Take-Out Order:(*)

Please add a value for date of last take out order.

Host Name on Take Out Packing Slip:

Location:(*)
Please add a value for the Location you visited.

What is your favorite Rib City entree:(*)
Please add a value for your favorite entree.

How would you rate our Take Out Food quality? Cooked properly and appropriately hot and/or cold? With 1 being the lowest and 5 being the highest?(*)
Please add a value for the food quality.

How would you rate our Take Out Food service? Friendly greeting, order repeated and order reviewed at time of pick up? With 1 being the lowest and 5 being the highest?(*)
Please add a value for our Service.

How would you rate our Take Out accuracy? All items ordered were included and packed correctly, all condiments, plastic ware and paper goods were included? With 1 being the lowest and 5 being the highest?(*)
Please add a value for your Overall Opinion.

How would you rate your overall Take Out experience? Based upon this take out order would you return and recommend Rib City Take Out to others? With 1 being the lowest and 5 being the highest?(*)
Please add a value for the overall Value.

How can we improve:

Invalid Input

Accept Credit Cards